Full-Time

Field Billing Manager

Posted on 4/26/2024

HeartFlow

HeartFlow

501-1,000 employees

Non-invasive personalized cardiac imaging service

AI & Machine Learning
Data & Analytics

Senior

Louisville, KY, USA + 5 more

Requirements
  • Outstanding knowledge of coding and billing in US healthcare system, including Medicare and commercial payers.
  • Proficient in the use of Excel, Word, and PowerPoint with advance spreadsheet development skills
  • Excellent communication skills and customer support attitude.
  • Strong understanding of hospital billing and coding infrastructure, including EMR, billing system, and personnel involved.
  • Ability to interpret policies and medical necessity language to identify appropriate ICD-10 codes and medical records to submit claims.
Responsibilities
  • Work with Marketing to create and disseminate educational materials around coding, billing, prior authorization and appeals.
  • Support commercial team by addressing coding and billing concerns throughout the sales and implementation process.
  • Conduct conference calls or travel onsite to customers to educate on appropriate use of Category III codes and billing scenarios.
  • Work with revenue cycle management both at customer site and internally with HeartFlow Access Program.
  • Read and interpret medical records to align with medical policy language to ensure accurate submission of claims. Partner with internal and external stakeholders to identify, anticipate and address patient and practice reimbursement issues
  • Collaborate with Field Sales team to identify facilities and practices that need reimbursement education and support regarding HeartFlow products.
  • Address questions associated with patient coverage, access, and reimbursement from accounts in collaboration and coordination with patient services as directed by policy and procedure.
  • Conduct frequent claim reviews with practices to ensure appropriate reimbursement of HeartFlow products.
  • Maintain a deep understanding of HeartFlow policies and requirements and perform the role in a compliant manner consistent with company guidance.
  • Keep abreast of customer and market access industry trends.
  • Provide coverage, coding, and reimbursement information to key staff members (i.e., practice administrators, reimbursement staff, and providers) in order to appropriately support patient access.
  • Collaborate with field facing “One Team” to compliantly share insights into customer needs, potential barriers, and payer issues/opportunities for access at practices.

HeartFlow, Inc. stands out as an exemplary place to work due to its leading-edge application of deep learning and computational fluid dynamics in the development of non-invasive cardiac tests. This technology not only enhances clinical outcomes but also propels the medical field forward, showcasing the company's commitment to both innovation and the well-being of patients globally. Employees at HeartFlow are part of a team that is making significant advancements in healthcare, offering a sense of purpose and the opportunity to contribute to life-saving technology.

Company Stage

Series F

Total Funding

$1.2B

Headquarters

Mountain View, California

Founded

2010

Growth & Insights
Headcount

6 month growth

10%

1 year growth

16%

2 year growth

23%
INACTIVE